Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,901.66	Facility		$2,901.66	$2,901.66	$2,901.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $3,277.51 / $3,724.44	Professional		$2,901.66	$3,277.51	$3,724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,979.55 / $2,979.55	Facility		$2,810.90	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $3,724.44 / $4,767.28	Facility		$2,901.66	$3,724.44	$4,767.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,724.45	Professional		$2,979.56	$2,979.56	$3,724.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,863.13 / $5,583.10	Professional		$30.00	$2,863.13	$5,583.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,575.47 / $3,575.47 / $3,575.47	Professional		$3,575.47	$3,575.47	$3,575.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56